A mother who has a history of chronic heroin use has lost custody ...

[burchfield96]

A mother who has a history of chronic heroin use has lost custody of her children due to abuse and neglect. She has been admitted to an inpatient drug rehabilitation program.
 
  Which client statement should a nurse associate with a positive prognosis for this client?
 
  A. I'm not going to use heroin ever again. I know I've got the willpower to do it this time.
  B. I cannot control my use of heroin. It's stronger than I am.
  C. I'm going to get all my children back. They need their mother.
  D. Once I deal with my childhood physical abuse, recovery should be easy.

Question 2

Upon admission for symptoms of alcohol withdrawal, a client states, I haven't eaten in 3 days. Assessment reveals BP 170/100 mm Hg, P 110, R 28, and T 97F (36C) with dry skin, dry mucous membranes, and poor skin turgor.
 
  What should be the priority nursing diagnosis?
 
  A. Knowledge deficit
  B. Fluid volume excess
  C. Imbalanced nutrition: less than body requirements
  D. Ineffective individual coping

[javimendoza7]

Answer to Question 1

ANS: B
A positive prognosis is more likely when a client admits that he or she is addicted to a substance and has a loss of control. One of the first steps in the 12-step model for treatment is for the client to admit powerlessness over the substance.

Answer to Question 2

ANS: C
The nurse should assess that the priority nursing diagnosis is imbalanced nutrition: less than body requirements. The client is exhibiting signs and symptoms of malnutrition as well as alcohol withdrawal. The nurse should consult a dietitian, restrict sodium intake to minimize fluid retention, and provide small, frequent feedings of nonirritating foods.

[burchfield96]

Excellent

[connor417]

Thanks for the timely response, appreciate it